ADN5 Chap 39: Child With an Alteration in Sensory Perception/Disorder of the Eyes or Ears

Teach the child and family that hearing aids should be cleaned _________ with a damp cloth and to change batteries weekly.

daily

Double vision

diplopia

Teach parents when inserting the aid, the volume should be turned _______, then adjusted to the appropriate level after insertion.

down

The nurse is teaching the family of a 6-year-old boy with allergic conjunctivitis how to minimize his exposure to allergens. What action would the nurse anticipate as being most difficult for the family to implement?

encouraging the child to keep his hands away from his eyes

_________________ _____________ is characterized by obstruction of aqueous humor flow and increased intraocular pressure that results in large, prominent eyes.

infantile glaucoma

Infantile glaucoma is an autosomal recessive disorder that is more common in ____________ marriages or relationships.

interrelated

Infants are ordinarily born with the sense of ________ fully developed.

hearing

In esotropia the eyes turn ___________.

inward

A very rapid irregular eye movement.

nystagmus

The pediatric ophthalmologist may use a __________ to measure the intraocular pressure during the diagnostic phase.

tonometer

A nursing instructor is teaching about eye disorders in childhood. Which statement made by a student indicates a need for further instruction?

"Cataracts are only present in adults."

The nurse is preparing a toddler for surgery for insertion of pressure-equalizing (PE) tubes. The nurse is ensuring the parents understand the procedure. Which comments by the parents demonstrate to the nurse that they understand the procedure? Select all that apply.

"I am excited to see if our child starts talking more after the tubes are placed." "We live on a lake and often swim with our child. We will be sure to use earplugs when swimming." "Our surgeon may require the use of earplugs when bathing our child."

The parents of a toddler have just learned that their child has profound hearing loss. The parents are very upset and state to the nurse, "It just isn't fair. We did everything right during our pregnancy all the way to this point." How should the nurse respond?

"I can't imagine how difficult this must be. When you're ready I would be happy to arrange a meeting with a support group of other parents with children who have hearing loss."

The nurse has finished teaching the mother of a 5-year-old male diagnosed with bacterial conjunctivitis how to manage her son's infection at home. Which statement by the mother would indicate a need for further education?

"I will use Visine drops in his infected eye to help reduce redness."

The nurse is obtaining the history from the parents of an infant who is suspected of having infantile glaucoma. Which statement by the parents would help to confirm this suspicion?

"It seems like bright lights really bother him."

A 12-year-old girl tells the nurse that she is so embarrassed that she is going to have to start wearing glasses. What is the best response by the nurse?

"Let's talk about what it will be like wearing them for the first time."

The nurse is educating the parents of a 7-year-old boy who has hearing loss due to otitis media with effusion. Which statement by the parents indicates that further education is needed?

"We need to raise the volume of our voices significantly so he can hear us."

The levels of hearing loss

0 to 20 dB: normal 20 to 40 dB: mild loss 40 to 60 dB: moderate loss 60 to 80 dB: severe loss Greater than 80 dB: profound loss

Persistent esotropia that persists past ___ months of age or constant strabismus at any age warrants referral to an ophthalmologist for further evaluation.

4 months

An 8-year-old boy comes to the emergency room with an eye injury after having a glass bottle shatter near his face. Which intervention should the nurse do first while assisting this client?

Instill a few drops of a topical anesthetic into the affected eye

Poor visual development in the otherwise structurally normal eye. Often referred to as a "lazy eye".

Ambylopia

The 12-year-old child has developed a stye. Which may be included in the child's care?

Apply hot, moist compresses to the affected area.

When transmission of sound through the middle ear is disrupted

Conductive hearing loss

An opacity of the lens of the eye that is present at birth.

Congenital cataract

Children with nystagmus must receive further evaluation by an ophthalmologist and possibly a ____________.

Neurologist

After performing eye tests, the school nurse notes a child has symptoms of myopia. Which recommendation will the nurse make to the child's teacher?

Place the child closer to the blackboard

A child with poor eye alignment cannot establish single binocular vision but has double vision. Which nursing action is most appropriate for this client?

Refer the child to a pediatric ophthalmologist

A 5-year-old child is diagnosed with acute otitis media. Which nursing intervention would be priority?

Relieving the child's pain

_______________ hearing loss is caused by damage to the hair cells in the cochlea or along the auditory pathway.

Sensorineural

The extent of hearing loss is defined based on?

The softest intensity of sound that is perceived

A parent of a newborn asks the nurse if there is any way to prevent acute otitis media. What would the nurse state to the parent?

The frequency of otitis media is reduced in breastfed infants.

The nurse is assessing a 5-month-old infant. What would cause the nurse to be concerned about a possible visual impairment?

The infant does not imitate facial expressions.

The nurse is caring for a 20-month-old girl with equivocal bacterial otitis media, a severe earache, and a temperature of 39°C (102.2°F). Which intervention would the nurse expect to implement?

administering antibiotics as soon as possible

The nurse is teaching a group of parents about eyes and eye concerns. The nurse tells these caregivers about a condition that occurs when unequal curvatures in the cornea bend the light rays in different directions and this causes images to be blurred. The condition the nurse is referring to is:

astigmatism

In exotropia, the eyes turn __________.

outward

Misalignment of the eyes

strabismus

Therapeutic management of strabismus may include patching of the __________ eye or eye muscle surgery.

stronger

A child has recently been diagnosed with cataracts. The treatment for cataracts is:

surgery

The vision impairment in which the child can see objects at close range but not at a distance is known as:

myopia